[1]龙俊青.臀位外倒转术的应用研究[J].医学信息,2019,32(12):61-63.[doi:10.3969/j.issn.1006-1959.2019.12.019]
　LONG Jun-qing.Application Study of Breech Presentation[J].Journal of Medical Information,2019,32(12):61-63.[doi:10.3969/j.issn.1006-1959.2019.12.019]
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臀位外倒转术的应用研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年12期
页码:
61-63
栏目:
综述
出版日期:
2019-06-15

文章信息/Info

Title:
Application Study of Breech Presentation
文章编号:
1006-1959（2019）12-0061-03
作者:
龙俊青
广西壮族自治区妇幼保健院，广西 南宁 530003
Author(s):
LONG Jun-qing
Guangxi Zhuang Autonomous Region Maternal and Child Health Hospital,Nanning 530003,Guangxi, China
关键词:
臀先露; 外倒转术; 剖宫产; 高危因素
Keywords:
Key words：Breech presentation; External reversal; Cesarean section; High risk factors
分类号:
R714.7
DOI:
10.3969/j.issn.1006-1959.2019.12.019
文献标志码:
A
摘要:
臀先露是指分娩时胎儿臀部先出来的情况，是异常胎位的一种。臀位孕妇自然分娩面临较大风险，多采用剖宫产术，但也存在近期和远期并发症。臀位外倒转术（ECV）安全性与成功率高，但孕妇接受程度差异较大，宣传及应用仍有待加强。本文对臀位外倒转术的发展、安全性、影响因素、实施时机等作一综述，为临床治疗提供参考。
Abstract:
Abstract：The breech presentation refers to the situation in which the baby's buttocks first come out during childbirth, which is a kind of abnormal fetal position. Pregnant women with breech presentation face a greater risk of natural childbirth, and more cesarean section is used, but there are also short-term and long-term complications. The safety and success rate of breech presentation (ECV) is high, but the degree of acceptance of pregnant women is quite different. The promotion and application still need to be strengthened. This article reviews the development, safety, influencing factors, timing of implementation of breech presentation, and provides a reference for clinical treatment.

参考文献/References:

[1]Hofmeyr GJ,Hannah M,Lawrie TA.Planned caesarean section for term breech delivery[J].Cochrane Database of Systematic Reviews,2015(7):CD000166. [2]黄诗韵,陈奕.英国皇家妇产科医师学院《臀先露的管理》2017年指南解读[J].中国医刊,2017(10):8-12. [3]高宗侠.近6年剖宫产率和剖宫产指征的变化趋势[J].安徽医药,2017,21(7):1231-1233. [4]郝秀兰,白小艺,梅志雄,等.孕晚期臀位外倒转术的安全性和影响因素的临床分析[J].中山大学学报(医学科学版),2018,39(3):443-447. [5]王晓怡,柯彩萍.再谈臀位外倒转术[J].中华产科急救电子杂志,2018,7(3):26-30. [6]Paul C.The baby is for turning:external cephalic version[J].BJOG,2017,124(5):773. [7]邓新琼,覃晓慧,廖滔,等.多学科联合对足月单胎臀位外倒转43例临床分析[J].现代妇产科进展,2016,25(1):54-55. [8]External Cephalic Version and Reducing the Incidence of Term Breech Presentation:Green-top Guideline No.20a[J].BJOG,2017,124(7):e178-e192. [9]Anat L,Lee R,Sarit A,et al.Success rates of early versus late initiation of external cephalic version[J].Int J Gynecol Obstet,2019(45):116-121. [10]Bin YS,Roberts CL,Nicholl MC,et al.Uptake of external cephalic version for term breech presentation:an Australian population study,2002-2012[J].BMC Pregnancy and Childbirth,2017,17(1):244-251. [11]邓新琼.足月单胎臀位外倒转术的可行性及影响因素分析[J].中国妇幼保健,2017,32(11):2476-2479. [12]Alexander MF,Cande VA,Zaiab S,et al.Trends in externl version for preventing primary cesarean deliverties,2005-2012[J].Am J Obstet Gynrcol,2016,214(1):S281-S291. [13]Lysikiewicz A,Brustman L,Rosenn B,et al.Vaginal delivery after external cephalic version[J].Am J Obstet Gynrcol,2016,185(6):172-180. [14]Basu A,Flatley C,Kumar S.Intrapartum intervention rates and perinatal outcomes following successful external cephalic version[J].J Perinatol,2016,36(6):439-442. [15]Kim MY,Park MY,Kim GJ.External cephalic version experiences in Korea[J].Obstet Gynecol Sci,2016,59(2):85-90. [16]Melo P,Georgiou EX,Hedditch A,et al.External cephalic version at term:a cohort study of 18 years'experience[J].BJOG,2019,126(4):493-499. [17]王晓怡,黄赟博,林琳,等.单胎臀位外倒转术的影响因素分析[J].中华产科急救电子杂志,2016,5(2):110-113. [18]Quist-Nelson J,Landers K,Mccurdy R,et al.External cephalic version in premature rupture of membranes:a systematic review[J].J Matern Fetal Neonatal Med,2017,30(18):2257-2261. [19]American College of Obstetricians and Gynecologists' Committee on Practice Bulletins-Obstetrics.Practice Bulletin No.161:External Cephalic Version[J].Obstet Gynecol,2016,127(2):e54-e61． [20]Beuckens A,Rijnders M,Verburgt-Doeleman GH,et al.An observational study of the success and complications of 2546 external cephalic versions in low-risk pregnant women performed by trained midwives[J].BJOG,2016,123(3):415-423. [21]Weill Y,Pollack RN.The efficacy and safety of external cephalic version after a previous caesarean delivery[J].Aust N Z J Obstet Gynaecol,2017,57(3):323-326. [22]马翠,赵友萍.75例臀位外倒转术临床分析[J].医学研究杂志,2016,45(12):102-104. [23]American College of Obstetricians and Gynecologist's Committee on Practice Bulletins Gynecology.Practice Bulletin NO.13:External cephalic version[J].Int J Gynecol Obstet,2001,72(2):198-204． [24]尹爱兰,胡海燕,钟梅.美国妇产科医师学会臀位外倒转指南(2016)解读[J].妇产与遗传.2016,6(4):26-30. [25]Velzel J,de Hundt M,Mulder FM,et al.Prediction models for successful external cephalic version:a systematic review[J].Eur J Obstet Gynecol Reprod Biol,2015(195):160-167. [26]Joost V,Ewoud S,Floortje V,et al.Development and internal validation of a clinical prediction model for external cephalic version[J].Eur J Obstet Gynecol Reprod Biol,2018(228):137-142. [27]Poole KL,Mcdonald SD,Griffith LE,et al.Association of external cephalic version before term with late preterm birth[J].Acta Obstet Gynecol Scand,2017,96(8):998-1005. [28]Rossi R,Defranco E.172:Obstetric factors and outcomes associated with external cephalic version[J].American Journal of Obstetrics and Gynecology,2018,218(1):S118-S119. [29]周水生,梁德阳.臀位外倒转术的临床应用[J].中华产科急救电子杂志,2017,6(4):246-247. [30]Andrews S,Leeman L,Yonke N.Finding the breech:Influence of breech presentation on mode of delivery based on timing of diagnosis,attempt at external cephalic version,and provider success with version[J].Birth,2017,44(3):222-229.

更新日期/Last Update: 2019-06-15